Sample Record

Owner Lab

  • CT D10 - District Materials Laboratory

DIME Sample ID 2021-07-08-68

Project Information

Project IdentifiersProject ID: 215615
DEA: 101L2304
EFIS: 1020000163
DIST-CO-RTE-PM10-SJ-4-5.4/13.4
Award Date05/05/2021
Closeout Date01/31/2022
Work DescriptionCOLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location DescriptionSAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD
QA Service Level1 (Verified on 04/21/2021)

Sample Information

Sample Taken Date07/08/2021 Sample Unique Key68
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/12/2021
Sample typeVerification A brief description of the sampleHMA-A-R 12%
The quantity of what the sample constitutes16 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byJason Last name of sampler or witnessed byDehoff
Title of samplerMREA Telephone number of sampler209-610-0809
Laboratory sample identification21-J-037 Linked DIME Sample ID2021-08-12-37
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) NumberC034932
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number
Sublot number HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments